Individual provider Active NPI

Jonathan G Smedley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Round Rock, TX
National Provider Identifier
1679535553
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1664 Issued in TX
Practice address
7200 Wyoming SPGS Ste 1150
Round Rock, TX 78681-4310
Phone
(512) 255-0125
Fax
(512) 255-0153
NPI assigned
Apr 5, 2006
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1664 TX Primary

Addresses

Primary practice location

7200 Wyoming SPGS Ste 1150
Round Rock, TX 78681-4310

Mailing address

7200 Wyoming SPGS Ste 1150
Round Rock, TX 78681-4310
Phone (512) 255-0125

Other identifiers 2

IdentifierTypeStateIssuer
165612601MedicaidTX
8M2370OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001600 TX Practitioner - Podiatry 1850374711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Podiatry PCGroup PAC ID 9537142492, 5 clinicians

Practice addresses (Care Compare)

1103 Cypress Creek Rd
Suite 101
Cedar Park, TX 78613-3925
Phone (512) 336-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue350
Removal of skin lesions33
Removal of nail tissue347
Removal or shaving of skin growth111
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1664TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Podiatry PC Foot & Ankle Surgery CurrentSince Apr 1, 2004 Accepting new patients

Locations

6611 River Place Blvd
Ste 200
Austin, TX 78730
Phone (512) 351-9149

1103 Cypress Creek Rd
Ste 101
Cedar Park, TX 78613
Phone (512) 336-2300

7200 Wyoming Springs Dr
Ste 1150
Round Rock, TX 78681
Phone (512) 255-0125

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17676/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1679535553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS STE 1150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814310",
            "telephone_number": "512-255-0125",
            "fax_number": "512-255-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS STE 1150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814310",
            "telephone_number": "512-255-0125",
            "fax_number": "512-255-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165612601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M2370",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.